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MARK D POPHAL M.D.
NPI 1407849516
Ophthalmology in Lyndhurst, OH

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
29001 CEDAR RD STE 110, LYNDHURST, OH 44124(216) 382-8022(216) 382-7667 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark D Pophal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK D POPHAL M.D. (NPI 1407849516) is an individual ophthalmology provider in Lyndhurst, Ohio, licensed in Ohio (35-05-9490-P) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1988).

NPPES Registry Identity

NPI1407849516
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK D POPHALCredential: M.D.
Location Address29001 CEDAR RD STE 110Lyndhurst, OH 44124-4041
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 626-6161 · Fax (419) 502-3511
Phone(216) 382-8022
Fax(216) 382-7667
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1988
Enumeration DateAugust 24, 2005
Last NPPES UpdateJune 22, 2020
NPPES CertifiedJune 22, 2020
✔ NPI 1407849516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OH · 35-05-9490-P
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
29001 CEDAR RD STE 110, Lyndhurst, OH 44124
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Other Identifiers 5

OtherH140671OH · Medicare
Other1193810001OH · Dmerc Medicare
Other180028844Railroad Medicare
Medicaid2027612OH
Other34-1844400OH · Tax Id#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark D Pophal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315920162
PECOS Enrollment IDI20040621001959
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
955 services841 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
461 services334 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
236 services218 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
223 services192 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
205 services190 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
129 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN M ZIELINSKI M.D.
Ophthalmology
29001 CEDAR RD STE 110
LYNDHURST, OH 44124
Cuyahoga County (216) 382-8022
RONALD HOWARD KRASNEY MD
Ophthalmology
29001 CEDAR RD STE 110
LYNDHURST, OH 44124
Cuyahoga County (216) 382-8022
WILLIAM E BRUNER II M.D.
Ophthalmology
29001 CEDAR RD STE 110
LYNDHURST, OH 44124
Cuyahoga County (216) 382-8022
MICHAEL P SHAUGHNESSY M.D.
Ophthalmology
29001 CEDAR RD STE 110
LYNDHURST, OH 44124
Cuyahoga County (216) 382-8022
DR. IGOR E ESTROVICH M.D.
Ophthalmology
29001 CEDAR RD STE 110
LYNDHURST, OH 44124
Cuyahoga County (216) 382-8022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Pophal's NPI number?

The NPI number for Mark Pophal is 1407849516. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Mark Pophal located?

Mark Pophal practices at 29001 Cedar Rd Ste 110, Lyndhurst, OH 44124. The listed phone number is (216) 382-8022.

What is Mark Pophal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Pophal enrolled in Medicare?

Yes. Mark Pophal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Pophal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Mark Pophal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Pophal was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.